Social Anxiety Disorder Analysis
Social Anxiety Disorder causes the patient to feel nervous, have problems sleeping and be fearful in social circumstances. The level of the symptoms is dependent on the severity and certain triggers. Moreover, the triggers include meeting new people, connecting with new people and public presentations. The patient has physical symptoms like sweating, fast heart and breathing problems. Furthermore, the patient avoids social events due to fear.
Proposed Social Anxiety Disorder Medical Plan
1. Cognitive Behavioral Therapy (CBT) will be used to help manage anxiety and sleeping difficulties.
2. The CBT will assist in educating the patient on how to manage anxiety and improve sleep patterns.
3. Selective Serotonin Reuptake Inhibitor (SSRI) to help mitigate the anxiety problem.
4. Escitalopram (Lexapro) starting dose of 10 mg, then increase to 20 mg daily based on tolerance.
5. Escitalopram will increase the level of serotonin in the brain, which will aid in regulating mood and decrease anxiety.
Regulations
Florida Advanced Practice Registered Nurses (APRNs) demand advanced education and certification to prescribe psychotropic prescriptions. Moreover, the Affordable Care Act (ACA) increases mental health care delivery services through health insurance programs to cover mental health and substance use disorder treatment. Furthermore, the ACA helps the case scenario by providing insurance coverage for the patient’s mental health treatment with a certified provider.
Legal and Ethical Considerations
Legal issues raise the concern of not delivering referral and treatment for a diagnosed medical condition can be deemed as malpractice. Furthermore, it is crucial to record the referral and any guidance made to the patient.
Ethical Issue
The patient has the right to autonomy and must be engaged in collaborative decision-making concerning their care. It is unethical to practice outside the mandated scope of competence through treatment of medications not qualified.
Follow-Up
Plan a follow-up appointment to deliberate the referral procedure, answer all the questions the patients might have and consistently monitor the client’s progress.
Mitigation Plan
You can minimize the risk of misdiagnosis and ineffectual medical plans by referring the patient to a qualified mental health expert. Besides, a person can adopt the documentation process of the referral and availing resources for self-management to demonstrate commitment to the patient’s well-being.
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